• Journal of Acupuncture Research
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• 제17권1호
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• pp.55-66
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• 2000

The following results have been obtaind after examing 72patients with facial paralysis who were hospitalzed and treated through the time period of December 1st, 1996 to November 30th, 1999 at the Department of Acupuncture and Moxibustion of Seoul Oriental Medicine, Kyungwon University. During the examination, those 72 patients were divided into two groups, and One group was treated by oriental-western treatment, the other group was treated by oriental treatment. Oriental treatments were acupuncture and moxibustion, herb medicine, physical treatment and hygienic treatment. The one of main western treatments is steroid therapy. The results were obtained as follows : 1. In regard to signs at the first medical examination, lacrimation was showed highest number and facial paralysis, dysgeusia, hyperacusis were showed in numerical order. 2. In regard to prescription of oriental herb medicine, Kamissangbotang(加味雙補湯) was prescribed in greatest numbers and Boyangwhanotang(補陽還五湯), Kamiboiktang(加味補益湯), Ligigepungtang(理氣祛風湯) were prescribed in numerical order. 3. In regard to treatment number, 10~19 times for treatment was showed highest number and 1~9 times, 20~29 times, 40~49 times were showed in numerical order . 4. In regard to mean treatment times about injury region and main sign, the effect of oriental-western treatment was showed as follows: lacrimal gland disorder, hyperacusis, dysgeusia, facial paralysis were treated for 15.1, 27, 13.2 and 21.4 times, repectively. The effect of oriental treatment was showed as follows: lacrimal gland disorder, hyperacusis, dysgeusia, facial paralysis were treated for 34.8, 22.1, 33.8 and 16.3 times, respectively. 5. In regard ta the effect of treatment about injury region and main sign, oriental-western treatment was showed as follows: cases of lacrimal gland disorder were showed 1 of excellent case, 1 of fair case, 5 of good cases. In hyperacusis patients, there was showed 1 of fair case. In dysgeusia patients, there was showed 1 of excellent case, 3 of fair cases, 1 of good case. In facial paralysis, there were showed 5 of fair cases. Oriental treatment was showed as follows: In lacrimal gland disorder, the excellent were 4 cases, the fair were 10 cases, the good were 3 cases and the poor were 4 cases, In hyperacusis, the fair were 5 cases, the poor 2 cases. In dysgeusia, the excellent were 4 cases, the fair were 1 case, the good were 1 case and the poor was 1 case, In facial paralysis, the excellent were 9 cases, the fair were 4 cases, the good 3 cases and the poor were 3 cases. 6. The effect of total treatment was as follows: 30 cases were showed fair effect, 19 cases were showed excellent effect, 13 cases were showed good effect and 10 cases were showed poor effect. 7. In regard to attack factor, overlabour was showed highest number and wind-cold, mental stress, trauma, ear disease, common cold, dental diseae, reason unknwon were showed in numerical order. 8. In regard to premonitory symptoms, non significant symptoms were in 38 cases, the pain of peri-stylomastoid region were in 38 cases and headache, dysaesthesia of periorbit, dysgeusia, stomatitis, eyelid tic were showed in numerical order. 9. In regard to sex, male were 33 cases and female were 39 cases. The distribution of age was disclosed that thirty, forty, fifty, seventy, sixty, twenty and below twenty years were revealed in turn. Sex and paralytic side were showed as follows: male-left were 15 cases, male-right were 18 cases, female-left were 19 cases and female-right were 19 cases. In regard to attack frequence in month, March was showed highest number and January, April, May, August, October, etc were showed in numerical order. In regard to attack frequence in season, spring was showed highest number and winter, summer, fall were showed in numerical order, but attack frequence between four seasons wasn't showed significant difference.

• Journal of Acupuncture Research
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• 제19권3호
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• pp.107-114
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• 2002

Objective : This study was designed to find the most effective and safest way to overcome Lumbago due to blood stasis and sprain involved in a few Meridian Tendino-musculatures by evaluating the effect of two kinds of Dong-gi(Dong-qi) Acupuncture(DGA) and by reporting their side effects. Material : 97 patients of out and admission patients were selected, who were diagnosed with lumbar sprain caused by repetitive bending, heavy weight lifting, unsuitable posture, concussion and falling down and whose Lumbago due to blood stasis and sprain in the concept of oriental medicine. Methods : 97 patients were divided into three groups. One is exclusive DGA group to which DGA and the method retaining needles on the acupoints for about 20 minutes were applied, the other is DGA combined active exercise group in which patients stretched their Meridian Tendino-muscuIatures with their hips moving up and downward repeatedly during DGA, the third is DGA combined passive exercise group in which patients were made to flex or extend their bodies on the auto flexion-distraction table in a prone position, from 10 to 20 degree, during DGA. In each group, bed rest, physical therapy and herbal medicine were used according to symptoms, in addition to DGA. In DGA method, "Su(Shu)" points of the meridian related to the involved Meridian Tendino-musculature were mainly chosen, that is, Sokkol(Shugu, B65), Hugye(Houxi, SI3), ChungJo(Zhongzhu, TE3) were used, for most LBP belonged to Bladder and Gallbladder Meridian Tendino-musculature disorders. Pyong-Bo-Pyong-Sa(Ping-Bu-Ping-Xie) such as Dong-Gi and Yeom-Jeon(Nian-Zhuan) was applied as Bo-Sa method. For evaluation of effectiveness, new score system was devised by severity of pain and range of movement. the score was given twice at patients' first and last visit and the difference between first and last score was regarded as a evaluation scale, the effectiveness was classified into four grade by evaluation scale.(scale : 12-15; excellent, 8-11; good, 4-7; fair, 0-3; bad) Results : 1. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed 97, 87 and 89% in effectiveness. 2. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed no aggravation of pain, range of movement. 3. In blood test of 34 patients, only one patient showed abnormal rise of sGOT, sGPT and $\gamma$-GTP at his first visit and the others didn't show any detrimental change. DGA had no bad influence upon BUN and creatinine of patients. Conclusion : For complex theraphy combining DGA, exercise, physical therapy and Herbal medicine proved to be highly effective on treating lumbago due to blood stasis and sprain, this is expected to be available for clinical use.

• Journal of Acupuncture Research
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• 제24권1호
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• pp.13-28
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• 2007

Objectives : Clinical character of chronic tension-type headache is bilateral, moderate intensity, persistent and chronic, repeating disease and CTTH is a common prevalent disease, but pathophysiology and likely mechanism remain unclear. It impedes subjective quality of life. The purpose of this research is to examine the effect of sa-am acupuncture method for chronic tension-type headache. Methods : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with sham acupuncture for the treatment of chronic tension-type headache. Volunteers who satisfied the requirements were enrolled in study. Evaluation of chronic tension-type headache was measured by VAS and Headache Disability Inventory(HDI), Six point Linkert Scale before and after treatments. Results : 26 subjects finished study. There were not difference between two groups on age, sex, weight, height, blood pressure, pulse, respiratory rate, Byeonjeung, sunrise of treatment. In change of VAS, there were not difference between two groups on before treatment. Before treatment per visit, VAS of 6th and 7th visit were significantly decreased in active acupuncture(each p=0.039, p=0.008) and were not decreased in sham acupuncture. In change of VAS on a withdrawing needling after treatment, VAS of 1st, 2nd, 6th and 7th visit were significantly decreased in active acupuncture (each p=0.001, 0.038, 0.035, 0.008) and VAS of 2nd, 4th and 5th, 6th visit were significantly decreased in sham acupuncture(each p=0.033, 0.032, 0.035, 0.031). In change of VAS on 2hrs after treatment, VAS of 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.014, 0.023, 0.027) and 5th visit were significantly decreased in sham acupuncture(each p=0.004, 0.009). In change of VAS on 4hrs after treatment, VAS of 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.018, 0.011, 0.015) and 5th, 6th visit were significantly decreased in sham acupuncture(each p=0.020, 0.015). In change of VAS on the next day after treatment, VAS of 3th and 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.032, 0.011, 0.005, 0.012) and 4th, 5th visit were significantly decreased in sham acupuncture(each p=0.001, 0.012). In change of VAS according to a current time(before treatment, after a withdrawing needling, 2hrs, 4hrs, the next day), total score of VAS was decreased more active acupuncture group than sham acupuncture group, but there were no statistical significance compared with sham acupuncture group. In change of HDI score, after treatment was decreased than before treatment in two group, but there were no statistical significance compared with two group. In change of Six point Linkert scale score, after treatment was decreased than before treatment in two group on 6th, 7th visit(active acupuncture 6th 7th each p=0.002, 0.003, sham acupuncture 6th 7th each 0.003, 0.009), but there were no statistical significance compared with tow group. Conclusion : Sa-am acupuncture treatment is effective to improve the symptoms and quality of life in patients with chronic tension-type headache.

• Journal of Acupuncture Research
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• 제19권2호
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• pp.51-64
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• 2002

류마티스 관절염의 쥐의 활액에서 단백분해효소, 산화제와 유리기에 대한 녹용약침의 비특이적 면역억제효과를 연구하였다. 일련의 실험표본으로서 여러가지 세포질, 리소좀, 기질 백분해효소의 제 활성을 RA대조군과 녹용약침군의 활액에서 카르보닐기 유도로 생성되는 유리기-유발 단백질손상과 항산화를 비교하였다. 전반적으로 단백분해효소활성이 정상군과 비교하여 RA대조군에서 유의성 있게 증가하였다. 세포질 단백분해효소들은 정상군과 RA군의 차이에서는 유의성이 없었다. 녹용약침처리($100{\mu}g/kg$)결과 세포질, 리소좀, 기질 단백분해효소생성을 억제하였으며, RA군과 녹용약침군 또는 정산군 사이에 활액 또는 세포질 항산화에서 유의성 있는 차이가 없음에도 불구하고, RA군 활액의 단백질손상을 유발하는 유리기는 녹용약침군과 정산군에 비교하여 약 2배 정도 높았다. 이상의 결과에서 단백분해효소와 유리기는 RA유발시 단백질손상을 유도하는 물질로 밝혀졌으며, 따라서 단백분해효소 저해와 유리기소거능을 갖는 치료법개발이 새로운 RA예방치료법으로 제시되었다. 나아가서 여러가지 기질특이성을 갖는 활액내 단백분해효소류(cysteine, serine, metallo proteinases와 peptidases)에 대한 효과적인 저해제개발이 필요한 것으로 보인다. 따라서 본 녹용약침은 이와 같은 새로운 개념의 2가지(유리기제거, 단백분해활성) 관절염치료 요소를 충족하는 약리활성을 포함하는 훌륭한 제제로 평가된다.

• Journal of Acupuncture Research
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• 제23권5호
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• pp.105-113
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• 2006

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

• Journal of Acupuncture Research
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• 제22권3호
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• pp.215-225
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• 2005

홍화자약침액(紅花子藥鍼液)의 항암효능(抗癌效能)을 밝히고자 간암세포주(肝癌細胞柱)에 최신 oligonucleotide chip assay 법을 통하여 대양(大量)의 유전자(遺傳子) 발현(發顯)을 분석(分析)한 결과(結果) 다음과 같은 결론(結論)을 얻었다. 1. MTT 분석(分析)에서 간암(肝癌) 및 위암세포주(胃癌細胞柱)는 홍화자약침액(紅花子藥鍼液) 1.5, 10, 20m/$m{\ell}$에서 대조군(對照群)에 비해 유의(有意)한 세포활성(細胞活性) 감소(減少)를 보였다. 2. 간암세포주(肝癌細胞柱)에 홍화자약침액(紅花子藥鍼液) 처치(處置) 시(時) 대조군(對照群)에 비해 발현(發顯)이 2배 이상 증가(增加)된 유전자(遺傳子)는 UCIA PMARARA fusion protein, human oral cancer candidate gene mRNA, EPPIN-3 등 19개였다. 3. 간암세포주(肝癌細胞柱)에 홍화자약침액(紅花子藥鍼液) 처치(處置) 시 (時)대조군(對照群)에 비해 유전자(遺傳子)의 발현(發顯)이 2배 이상 감소(減少)된 것은 BTF3, MMP11, paxillin, villinn 등 13개였다. 이상과 같이 홍화자약침액(紅花子藥鍼液)에 대한 간암세포주(肝癌細胞柱)의 유전자(遺傳子) 발현(發顯)을 oligonucleotide 분석(分析)으로 대량(大量) 검소(儉素)할 수 있었고, 심한 발현(發顯) 차이(差異)를 나타내는 각 유전자(遺傳子)는 암화(癌化) 과정(過程)이나, 홍화자약침액(紅花子藥鍼液)에 반응하는 유전자(遺傳子)로 치료제 개발을 위한 기초 자료로 활용할 수 있을 것으로 사료(思料)된다.

• Journal of Acupuncture Research
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• 제22권3호
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• pp.53-67
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• 2005

기문혈(期門穴)에 대한(對) 오공자약침(蜈蚣雌藥鍼)이 D-Galactosamine에 의하여 유발된 간손상(肝損傷)에 미치는 영향을 실험적으로 규명하고자 흰쥐에게 약침을 처치한 후 혈청내의 G0T GPT, ${\gamma}$-GTP, Total bilirubin, LDH, ALP, Total cholesterol, Triglyceride 및 혈 액액내의 WBC, RBC, HGB, Hct 등을 관찰한 바 다음과 같은 결과를 얻었다. 1. GPT변화에서 대조군에 비하여 SHA-2군과 SHA-3군이 유의한 감소를 보였다. 2. Total bilirubin변화에서 대조군에 비하여 SHA-1군, SHA-2군과 SHA-3군이 유의한 감소를 보였다. 3. ${\gamma}$-GTP변화에서 대조군에 비하여 SHA-1군 과 SHA-2군이 유의한 감소를 보였다. 4. Total cholesterol변화에서 대조군에 비하여 SHA-2 군이 유의한 증가를 보였다. 5. Triglyceride변화에서 대조군에 비하여 SHA-1군, SHA-2군과 SHA-3군이 유의한 감소를 보였다. 6. HDL-cholesterol변화에서 대조군에 비하여 SHA-2군이 유의한 증가를 보였다. 7. 혈액내 변화에서 대조군에 비하여 WBC는 SHA-2군에서 유의한 감소를 보였으며, RBC는 SHA-2군과 SHA-3군에서 유의한 증가를 보였고, HGB는 SHA-2군과 SHA-3군에서 유의한 증가를 보였으며, Hct는 SHA-3군에서 유의한 증가를 보였다. 이상의 실험결과를 종합해보면 오공약침이 D-galactosamine으로 유발된 백서의 간손상에 효과적이라고 생각되며 간손상에 대한 예방, 치료적인 부분에서 향후 지속적인 연구가 필요하리라고 사료된다.

• Journal of Acupuncture Research
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• 제22권1호
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• pp.117-130
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• 2005

소요산(逍遙散) 약침(藥針)이 흰쥐의 갱년기(更年期) 우울증(憂鬱症) 및 stress모델의 인지, 학습 및 기억장애와 불안행동에 미치는 효능(效能)을 파악하기 위하여 행동실험 학적 검사와 면역조직화학적 검사를 실시한 결과 다음과 같은 결론을 얻었다. 1. Morris water maze의 학습검사결과 Soyo-san군(群)의 경우, 시간단축이 현저하게 나타나서 제 6일째 $24.69{\pm}8.48$초로 측정되어 Ovx군(群)에 대해 유의성 있는 인지 및 학습력을 보였다. 2. Morris water maze의 기억검사결과 Soyo-san군(群)이 $3.38{\pm}0.82$로 Sham군(群)과 Ovx군(群)에 대해 머문 시간이 유의성있게 증가하였다. 3. Ventral tegmental area의 TH의 발현정도는 Normal군(群)이 $9.14{\pm}0.50$, Sham군(群)은 $9.00{\pm}0.29$, Ovx군(群)은 $10.81{\pm}0.63$, Soyo-san군(群)은 $8.19{\pm}0.42$로 나타났는데 Soyo-san군(群)이 Ovx에 대해 유의성있게 감소하였다. 4. Hippocampus의 CAI부위에서는 ChAT 발현 정도에서 Soyo-san군(群)이 On군(群)에 대해서 유의하게 증가하였다. 이상(以上)의 결과를 종합하면 소요산(逍遙散) 약침(藥針)이 난소 적출 흰쥐의 stress모델의 인지, 학습 및 기억장애를 호전시키는 것으로 나타났으며 이는 갱년기(更年期) 여성(女性)의 우울증(憂鬱症) 및 stress 반응에 대한 적절한 치료제로서 가능하리라 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.801-814
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• 1996

연구배경 : 약물복용에 관한 엄격한 규제가 없는 국내 의료현실상, 각종 건강에 관련된 약물이 범람하고 있어 약물 오 남용에 따른 심각한 약물부작용의 발생 가능성이 클 것으로 추정된다. 이에 건강한 성인 남성에서 영양제, 한약을 포함한 자가약물복용에 따라 간 기능 장애를 유발하는지를 코호트 내 환자-대조군 연구로 알아보았다. 방법 : ' 서울코호트' 대상자 중 (1)1990년도 정기 건강검진의 혈청결과상 HBsAg이 음성이면서 AST, ALT 모두 40 IU/L 이하인 대상자 (2) 1990년도 입원진료청구 전산자료상 간질환을 포함한 각종 질병으로 수진받은 적이 없는 자 (3)설문서 응답내용상 1991년 한해 동안 각종 질병이 발생되어 해당 약물을 복용한 적이 없는 자 (4)1992년도 정기 건강검진상 종합소견이 정상이면서 혈청검사상 HBsAg 음성인 자로 국한하여 본 연구를 위한 새로운 코호트를 구축하였다. 2년간의 추적조사 결과 1992년도 검사치상 AST/ALT 모두 40 IU/L 이상이면서 1990년도 AST/ALT에 비하여 100%이상 상승한 경우를 '간효소치 상승군(case group)'으로 정하였고, 반대로 1992년도 검사치상 AST/ALT 모두 40 IU/L 미만이면서 1990년도 ALT/ALT 에 비하여 상승 정도가 100% 미만인 경우를 '대조군(control group)'으로 하여, 약물복용과의 관련성을 카이자승법과 로지스틱 회귀법으로 알아보았다. 결과 : '간기능치 상승군(n=30)'은 대조군(n=2,625)' 에 비하여 44세 이하가 많았고, 경제수준이 높았으며 보다 비만하였으나 교육수준, 직업, 가족력, 수술력, 방사선 촬영력, 침구이용력, 흡연 및 음주습관에서 차이가 없었다. 약물복용에 있어서는 간장제와 한약복용은 차이가 없었으나, 스쿠알렌, 알로에 등의 건강보조식품 복용력은 '간기능치 상승군'에서 유의하게 많았다. 단변수 분석에서 유의성을 보인 변수들을 보정하여 보았을 때도 건강보조식품 복용력은 여전히 통계적 유의성을 잃지 않았다. 결론 : 본 연구결과는 건강인이라 하더라도 '건강보조식품'의 임의 복용은 간기능 장애를 유발할 가능성이 있다고 보아진다. 따라서 현재 '건강보조식품'의 사용이 급증하는 추세 속에서 치료제가 아닌 보조식품으로써의 '건강보조식품'이라 하더라도 장기간 임의 복용에 따라 어떤 부작용이 얼마나 발생할 것인지에 대한 연구가 향후 이루어져야 할 것으로 판단된다.

• 한방안이비인후피부과학회지
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• 제34권3호
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• pp.27-54
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• 2021

Objectives : This review was conducted to validate the effectiveness and safety of herbal medicine combined with conventional therapy for rosacea. Methods : Randomized controlled trials(RCTs) reporting the effects of herbal medicine treatment on rosacea were searched through eight electronic databases from 2016 to March 17, 2020. This study collection and data extraction were performed by two independent reviews. The Cochrane risk-of-bias tool was used for the evaluation of the risk of bias in all included RCTs. Mean differences(MD) and Risk ratio(RR) of 95% Confidence intervals(Cls) were calculated and data synthesis was conducted using Review Manager(RevMan, ver.5.4) Results : Eighteen RCTs were included and all trials compared the combined therapy of herbal medicine with conventional western therapy to conventional therapy alone. The effective rate of the combination of herbal medicine with western medicine(RR 1.20, 95% CI : 1.13-1.28, p<0.00001, I²=0%), the effective rate of the combination of herbal medicine with laser-based therapy(RR 1.12, 95% CI : 1.04-1.21, p=0.004, I²=18%) and the effective rate of the combination treatment group using herbal medicine, western medicine and external drugs were all statistically higher that of the control group(RR 1.19, 95% CI : 1.11-1.28, p<0.00001, I²=0%). The score of non transient erythema(MD -0.36, 95% CI : -1.01 0.29, p=0.27, I²=93%), flushing(MD -0.69, 95% CI : -0.97, 0.41, p<0.00001, I²=32%), papules or pustules(MD 0.10, 95% CI : -0.15, 0.35 p=0.44, I²=0%) were also seen in the herbal medicine and western medicine combination group. The overall risk of bias of the included studies was some concerns. No serious adverse effects were observed. Conclusions : This review found the safety and effectiveness of the combined therapy of herbal medicine with conventional western therapy for rosacea.